EUSDS Incident Report Form
EUSDS Safe Space officers will act on the information you provide in this form, as they find appropriate, to ensure both your safety and that of other EUSDS members. This form will be stored in a password-protected, digital folder which only the Safe Space officers will have access to. Your anonymity will be kept at all times, unless we are given your permission or if maintaining your anonymity would put you, or others, in danger.
When it happened: *
(As close to the date of the first incident as you can remember. If there were several, please indicate in the 'What happened' section)
MM
/
DD
/
YYYY
Where it happened: *
Your answer
Individual(s) being reported: *
Your answer
What happened: *
Your answer
How you would like us to handle the situation:
For example, please specify if you are uncomfortable with us speaking to the person.
Your answer
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